Provider Demographics
NPI:1124791470
Name:SARRIA SANCHEZ, YARELIS (FNP)
Entity type:Individual
Prefix:
First Name:YARELIS
Middle Name:
Last Name:SARRIA SANCHEZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2850 E 5TH AVE APT 9A
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33013-3602
Mailing Address - Country:US
Mailing Address - Phone:786-545-6464
Mailing Address - Fax:
Practice Address - Street 1:2850 E 5TH AVE APT 9A
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33013-3602
Practice Address - Country:US
Practice Address - Phone:786-545-6464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-30
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11014509363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty